Fungal Sinusitis: Radiological Aspects*Corresponding Author: Marrakchi Jihène, ENT department, la Rabta Hospital Tunis, Tunisia, Tel: + 21698260676, Email: [email protected]
Received Date: Aug 30, 2019 / Accepted Date: Sep 30, 2019 / Published Date: Oct 07, 2019
Citation: Jihène M, Maha M, Samia M, Zainine R, Mohamed BA, et al. (2019) Fungal Sinusitis: Radiological Aspects. Otolaryngol (Sunnyvale) 9:381.
Copyright: © 2019 Jihène M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: Fungal sinusitis is a well-known entity. They are grouped into invasive forms and non-invasive forms. The diagnosis is often late and difficult given the varied and non-specific nature of the clinical signs. Invasive forms, which cause serious complications that are life-threatening, require rapid diagnosis. The objective was to illustrate the different radiological aspects of fungal sinusitis by specifying for each group its clinical and anatomo-mycological particularities.
Methods: This was a retrospective study of 30 cases of fungal sinusitis collected in service over a 20-year period (1998-2017). All patients had an imaging.
Results: Our series included 30 cases divided into 16 cases of fungal ball, 5 cases of allergic form, 5 cases of chronic invasive fungal sinusitis and 4 cases of mucormycosis. A female predominance was noted with a sex ratio of 0.3. The clinical picture was nonspecific. The functional signs were dominated by rhinorrhea, nasal obstruction and facial pain. Imaging, based on CT (Computed tomography) and/or MRI, was performed in all patients. The radiological signs varied according to the type of fungal attack. All patients were operated on. The diagnosis was mycological and/ or pathological.
Conclusion: The clinical picture of fungal sinusitis is nonspecific. However, one must know how to think of the invasive forms before any trailing sinusitis on a field of immunodepression. Imaging is of great value in the diagnostic and therapeutic approach.